Provider Demographics
NPI:1326878653
Name:BIERSCHEID, SAWYER MARK (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SAWYER
Middle Name:MARK
Last Name:BIERSCHEID
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 E HERITAGE LOOP
Mailing Address - Street 2:
Mailing Address - City:LA CENTER
Mailing Address - State:WA
Mailing Address - Zip Code:98629-5541
Mailing Address - Country:US
Mailing Address - Phone:360-721-3675
Mailing Address - Fax:
Practice Address - Street 1:3328 NE 3RD AVE
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-2436
Practice Address - Country:US
Practice Address - Phone:360-835-3303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61565088183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist